• Lenka Borska, Ctirad Andrys, Jan Krejsek, Vladimir Palicka, Viktor Vorisek, Kvetoslava Hamakova, Jan Kremlacek, Pavel Borsky, and Zdenek Fiala.
• Institute of Pathological Physiology, Charles University in Prague, Faculty of Medicine in Hradec Kralove, Šimkova 870, 50038 Hradec Kralove, Czech Republic. Electronic address: borka@lfhk.cuni.cz.
• J. Dermatol. Sci. 2016 Mar 1; 81 (3): 192-202.

BackgroundUltraviolet radiation (UVR) and crude coal tar (CCT) containing PAHs can accelerate the skin-aging process (SAP). However, UVR induces the formation of an important protective factor in SAP (vitamin D).ObjectiveTo determine the relation of SAP to selected risks and benefits of combined dermal exposure to UVR and coal tar (PAHs).MethodsThe study group consisted of patients with chronic stable plaque psoriasis and treated by Goeckerman therapy (GT; daily dermal application of UVR and 5% CCT ointment). The levels of urinary 1-hydroxypyrene (1-OHP), oxidative stress (DNA and RNA damage), genotoxic damage (chromosomal aberration in peripheral lymphocytes; ABC), 25-hydroxy-vitamin D [25(OH)D] and the PASI score were evaluated before and after GT.ResultsIntensive dermal absorption of PAHs was confirmed by increased levels of 1-OHP (p<0.01). After the therapy, we found an increased level of oxidative stress (p<0.05), an increased level of genotoxic damage (ABC; p<0.001), a high efficiency of the treatment (p<0.001) and an elevated production of 25(OH)D (p<0.01). We also found a relationship between the duration of UVR and the genotoxic damage (p<0.01), vitD (p<0.05) and the PASI score (p<0.05). Furthermore, we found a relationship between oxidative stress and 25(OH)D (p<0.05) and between genotoxic damage and the PASI score (p<0.05).ConclusionDermal exposure to UVR and coal tar (PAHs) enhances the level of oxidative stress and genotoxic damage and thus contributes to SAP. However, the exposure is very effective as a treatment and elevates the production of 25(OH)D, the protective factor in SAP. According to our results, UVR is probably a more hazardous factor in SAP.Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

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